WBCCRP和PCT在急诊发热患者诊治中应用.docVIP

WBCCRP和PCT在急诊发热患者诊治中应用 　　摘 要：目的 探讨WBC、CRP和PCT在急诊发热患者诊治中的应用效果。方法 选用2015年11月～2017年11月中山市人民医院救治的119例急诊发热患者为研究对象，给予患者实施WBC、CRP和PCT检测和病因学检查，依据诊断结果中是否感染细菌分为对照组和观察组，对照组32例为非细菌感染患者，观察组87例为细菌感染患者，对比两组WBC、CRP、PCT诊断情况。结果 观察组的WBC、CRP、PCT水平高于对照组，血液WBC、CRP、PCT的指标中，敏感度、特异度等进行比较，三种联合检测的敏感度和准确度最高。结论 WBC、CRP和PCT在急诊发热患者诊治中的应用效果显著，细菌感染发热患者WBC、CRP和PCT水平明显提升，PCT的特异性更优，CRP敏感度更优，联合检测的应用价值最高。 　　关键词：WBC；CRP；PCT；急诊发热 　　中图分类号：R446.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.055 　　文章编号：1006-1959（2018）07-0157-02 　　Application of WBC，CRP and PCT in Diagnosis and Treatment of Emergency Fever Patients 　　ZHANG Jie 　　（Department of Emergency，Zhongshan Peoples Hospital，Guangzhou 528403，Guangdong，China） 　　Abstract：Objective To investigate the effect of WBC CRP and PCT in the diagnosis and treatment of emergency fever.Methods 119 patients with emergency fever treated in Zhongshan peoples Hospital from November 2015 to November 2017 were selected as the study subjects.The patients were given WBC CRP and PCT detection and etiology examination.According to the diagnostic results， the patients were divided into control group and observation group.32 patients in control group were non-bacterial infection patients and 87 patients in observation group were bacterial infection patients，the diagnosis of two groups of WBC， CRP and PCT was compared.Results The levels of WBC，CRP and PCT in the observation group were higher than those in the control group.The sensitivity and specificity of blood WBC，CRP and PCT were compared，and the sensitivity and accuracy of the three combined tests were the highest.Conclusion WBC，CRP and PCT have significant effect in the diagnosis and treatment of fever patients.The levels of WBC，CRP and PCT in patients with bacterial infection and fever are significantly improved，PCT has better specificity，CRP sensitivity is better，and the value of combined detection is the highest. 　　Key words：WBC；CRP；PCT；Emergency fever 　　?l热为临床上极为常见的病症，该病症的产生多为急性感染所导致，有细菌感染和非细菌感染之分，对于患者感染与非感染的诊